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422 W Bethalto Dr, Bethalto, IL 62010-1700 | |
| (618) 377-5221 | |
| (618) 377-5220 |
| Full Name | |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 422 W Bethalto Dr, Bethalto, Illinois |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013967116 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 046007313 (Illinois) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
422 W Bethalto Dr, Bethalto, IL 62010-1700 Ph: (618) 377-5221 | 422 W Bethalto Dr, Bethalto, IL 62010-1700 Ph: (618) 377-5221 |
Lynley E Atwood, Llc Optometrist Medicare: Medicare Enrolled Practice Location: 422 W Bethalto Dr, Bethalto, IL 62010 Phone: 618-377-5221 | |
Dr. Lynley Atwood, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 422 W Bethalto Dr, Bethalto, IL 62010 Phone: 618-377-5221 | |
Dr. Shelby Nicole Griggs, OD Optometrist Medicare: Medicare Enrolled Practice Location: 422 W Bethalto Dr, Bethalto, IL 62010 Phone: 618-377-5221 | |
Dr. Mark Allen Ellison, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 422 W Bethalto Dr, Bethalto, IL 62010 Phone: 618-377-5221 Fax: 618-377-5220 |